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General NPI Number Information
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NPI Number | 1790871176
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Entity Type | Organization
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Legal Business Name | DENNIS C. MCALLISTER, DDS, PA
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1700 JAMES ST
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City | DERBY
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State | KS
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Zip | 67037-3543
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Country | US
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Telephone | 316-788-3736
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Fax | 316-788-4158
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Provider Business Mailing Address
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Address Line | PO BOX 207 1700 E. JAMES
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City | DERBY
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State | KS
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Zip | 67037-0207
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Country | US
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Telephone | 316-788-3736
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Fax | 316-788-4158
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DENNIS C. MCALLISTER
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Credential | DDS
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Telephone | 316-788-3736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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